Mrs Nicah Alicia Ambo Pechacek, DNP, CRNA in Maitland, FL - Medicare Nurse Anesthetist, Certified Registered

Mrs Nicah Alicia Ambo Pechacek, DNP, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Maitland, Florida. Her current practice location is 851 Trafalgar Ct, Maitland, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 667-0444.

Mrs Nicah Alicia Ambo Pechacek is licensed to practice in Florida (license number APRN11013562) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093343675.

Contact Information

	Mrs Nicah Alicia Ambo Pechacek, DNP, CRNA
	851 Trafalgar Ct, Maitland, FL 32751-4132
	(407) 667-0444
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Nicah Alicia Ambo Pechacek
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	851 Trafalgar Ct, Maitland, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093343675
Provider Enumeration Date: 03/30/2020
Last Update Date: 08/07/2024

Medicare PECOS Information:

PECOS PAC ID: 4688063050
Enrollment ID: I20211105002097

Medical Identifiers

Medical identifiers for Mrs Nicah Alicia Ambo Pechacek such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093343675	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	9373151 (Florida)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	APRN11013562 (Florida)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Nicah Alicia Ambo Pechacek allows following entities to bill medicare on her behalf.

Entity Name	Us Anesthesia Partners Of Florida Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518910520 PECOS PAC ID: 0345143152 Enrollment ID: O20040129000594

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Nicah Alicia Ambo Pechacek is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Nicah Alicia Ambo Pechacek, DNP, CRNA 2453 Sweet Oak St, Ocoee, FL 34761-7607 Ph: (305) 519-1625	Mrs Nicah Alicia Ambo Pechacek, DNP, CRNA 851 Trafalgar Ct, Maitland, FL 32751-4132 Ph: (407) 667-0444

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Maitland, FL

Sun Hee Kim, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 Winderley Pl Ste 115, Maitland, FL 32751 Phone: 407-581-9180 Fax: 865-560-7066
Nairoby M. Hernandez-crespo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 Winderley Pl Ste 115, Maitland, FL 32751 Phone: 407-581-9180 Fax: 865-560-7066
Ashley E. Weider, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 Winderley Pl Ste 115, Maitland, FL 32751 Phone: 407-581-9180 Fax: 865-560-7066
Danielle M. Odri-ramirez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 Winderley Pl Ste 115, Maitland, FL 32751 Phone: 407-581-9180 Fax: 865-560-7066
Julie Anne Hillstrom, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 291 Southhall Ln, Maitland, FL 32751 Phone: 407-667-0444
Andrew J. Houck, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 Winderley Pl Ste 115, Maitland, FL 32751 Phone: 407-581-9180 Fax: 865-560-7066
Jason A. Tolton, APRN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 851 Trafalgar Ct Ste 200e, Maitland, FL 32751 Phone: 888-339-8727

Mrs Nicah Alicia Ambo Pechacek, DNP, CRNA - Medicare Nurse Anesthetist, Certified Registered in Maitland, FL